Individual
MISS JANE BOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T., O.T.R.
Contact information
Practice address
4015 INTERSTATE 45 N, CONROE, TX 77304-4901
(936) 522-4731
(936) 522-4737
Mailing address
4015 INTERSTATE 45 N, CONROE, TX 77304-4901
(936) 522-4731
(936) 522-4737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
304475
TX
Other
Enumeration date
03/03/2007
Last updated
03/24/2010
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